All states › Missouri › Saint Louis › Bethesda Dilworth
9645 Big Bend Blvd Saint Louis, MO 63122 · St. Louis County
All 36 nursing homes in Saint Louis, MO (35 take Medicaid)
CMS certification number 265764 · See this home on Medicare Care Compare
Is Bethesda Dilworth a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Bethesda Dilworth as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.17 hours per resident per day at Bethesda Dilworth, above the Missouri median of 3.37 (US median: 3.72). About 0.47 of those hours are from registered nurses. On weekends it falls to 4.48 hours, 13% below its all-week average. 43.2% of nursing staff left within a year (Missouri median 56.8%). That is lower than most homes in Missouri, a sign of a steadier team.
About this nursing home
Paying for care at Bethesda Dilworth: Medicare and Medicaid
Bethesda Dilworth is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 23, 2025 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 24 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 24 citations at Bethesda Dilworth across 10 inspection dates, 10 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 11, 2025 (complaint inspection). The most common areas cited were quality of life and care (8) and pharmacy service (5). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level J, April 11, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
March 19, 2026 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
September 3, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
July 23, 2025 · 4 citations
EProvide activities to meet all resident's needs.
DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
DEnsure each resident receives an accurate assessment.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
April 11, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
January 29, 2025 · 2 citations · includes complaint inspection
DPlan the resident's discharge to meet the resident's goals and needs.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
September 12, 2024 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
May 23, 2024 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
March 13, 2024 · 1 citation · includes complaint inspection
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
September 29, 2023 · 5 citations
EEnsure medication error rates are not 5 percent or greater.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
February 7, 2020 · 5 citations
DAllow residents to self-administer drugs if determined clinically appropriate.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure medication error rates are not 5 percent or greater.
Questions to ask on a tour of Bethesda Dilworth
- Inspectors cited the home at the immediate-jeopardy level on April 11, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 23, 2024. How are staff trained, and how are concerns reported?
- The home averages about 36% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $88,946 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 11, 2025 | Fine | $88,946 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 4/5 | 3/5 |
| August 2026 | 3/5 | 3/5 | 4/5 | 3/5 |
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Location
Hospitals near Bethesda Dilworth
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.4 mi
SSM St Joseph Hosp of Kirkwood St LouisEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 20m for patients treated and sent home
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4.6 mi
Mercy Hospital South St LouisEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 4h 14m for patients treated and sent home
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5.6 mi
Missouri Baptist Medical Center Town and CountryEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 4h 22m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Bethesda Dilworth › All nursing homes in Saint Louis ›
Compare Bethesda Dilworth with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Aberdeen Heights · Kirkwood · 5 stars · 2.4 mi
- Delmar Gardens of Meramec Valley · Fenton · 5 stars · 6.6 mi
- Lutheran Senior Services at Meramec Bluffs · Ballwin · 5 stars · 8.0 mi
- Bethesda Southgate · Saint Louis · 5 stars · 8.8 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.